NPIMap

Organization Active NPI

Amazing Health Care and Services, Inc

  • Internal Medicine Physician
  • Lake Park, FL
National Provider Identifier
1679172068
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMAZING HEALTH CARE AND SERVICES, INC
Practice address
1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046
Phone
(561) 847-4794
Fax
(561) 847-4574
NPI assigned
Oct 18, 2020
Last updated
Oct 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natacha Etienne, APRNNPI 1043843279
Title
Vice President
Phone
(561) 847-4794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046

Mailing address

1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046
Phone (561) 847-4794

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AMAZINGHEALTHCARE320.COM Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25349/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602979200000",
    "number": "1679172068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PROSPERITY FARMS RD STE 100",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032046",
            "telephone_number": "561-847-4794",
            "fax_number": "561-847-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 PROSPERITY FARMS RD STE 100",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032046",
            "telephone_number": "561-847-4794",
            "fax_number": "561-847-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HEALTH CARE AND SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "NATACHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-847-4794",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AMAZINGHEALTHCARE320.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1511 Prosperity Farms Rd Ste 100",
            "city": "Lake Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334032046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.